A 27-year-old woman is seen in clinic for ongoing management of her juvenile myoclonic epilepsy. Her seizures have been well controlled on lamotrigine, with no seizures in the past 2 years. She does report some symptoms of depression, as well as anticipatory anxiety regarding the possibility of future seizures. Which of the following options is the best next step in management?
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Question 2 of 90
While gathering equipment after an injection, a nurse accidentally received a prick from an improperly capped needle. To interpret this sensation, which of these areas must be intact?
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Question 3 of 90
Which of the following poses a potential ethical concern when prescribing psychiatric medications?
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Question 4 of 90
Which nursing intervention can assist a Hindu patient in maintaining his religious practice?
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Question 5 of 90
Patients with antisocial personality disorder:
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Question 6 of 90
Which of the following are the consequences of vitamin and mineral deficiencies which can lead to dementia and memory disorders in alcohol abuse?
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Question 7 of 90
Which complementary and alternative therapy may be safely combined with traditional Western medicine in the treatment of anxiety disorder?
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Question 8 of 90
Your patient in the psychiatric unit is still up at midnight playing cards. You tell him, 'It's time to get some sleep now.' What is the purpose of this response?
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Question 9 of 90
A patient has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the patient about medication from which group?
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Question 10 of 90
Which of the following separates the frontal lobe from the parietal lobe?
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Question 11 of 90
What type of possession occurs when a person has actual physical control over the drug in question?
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Question 12 of 90
Drug therapy with thioridazine (Mellaril) shouldn't exceed a daily dose of 800 mg to prevent which adverse reaction?
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Question 13 of 90
A mental health nurse bumps into a member of her church, who begins questioning her about a former neighbor. The woman from the church asks the nurse, 'How is Rachael? We have been friends for over 20 years and I have seen her come out of your clinic a few times. Is she seeing one of the psychiatrists?' The nurse's response is:
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Question 14 of 90
A patient tells the nurse that, 'All my life I've been called 'knock knees.'' The nurse knows that another term for knock knees is:
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Question 15 of 90
A patient who has had rheumatoid arthritis for years comes to the clinic to ask about changes in her fingers. The nurse will assess for signs of what problems?
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Question 16 of 90
You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?
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Question 17 of 90
Your depressed patient has suddenly changed to being more cheerful and tells you he wants to reduce the clutter at home and give away some prized possessions to friends. What should be your response?
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Question 18 of 90
During the assessment of an 80-year-old patient, the nurse notices that his hands show tremors when he reaches for something and his head is always nodding. No associated rigidity is observed with movement. Which of these statements is most accurate?
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Question 19 of 90
The patient expresses sadness at 'being all alone with no one to share my life with.' Which response by the nurse demonstrates the existence of a therapeutic relationship?
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Question 20 of 90
A nurse is caring for a patient with post-traumatic stress disorder (PTSD). Which symptom is most commonly associated with PTSD?
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Question 21 of 90
A nurse makes a post on a social media page about his peer taking care of a patient with a crime-related gunshot wound in the emergency department. He does not use the name of the patient. The nurse:
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Question 22 of 90
A nurse is caring for a patient who has just undergone a mastectomy. Which of the following is the most appropriate intervention during the postoperative period?
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Question 23 of 90
Schemata, automatic thoughts, and cognitive distortions are terms that relate to:
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Question 24 of 90
As work through Mrs. M's assessment, you evaluate her possible level of resilience. Which other characteristic would you expect her to have?
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Question 25 of 90
A court order inpatient hospitalization was ordered for a patient who is considered a danger to themselves and other. Which ethical issue is being addressed?
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Question 26 of 90
Which disadvantage is inherent to the problem-oriented charting system (SOAPIE)?
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Question 27 of 90
A client arrives in the emergency room with a tricyclic antidepressant overdose. Which of the following measures should the nurse do, except?
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Question 28 of 90
Which of the following classes of psychiatric medications is primarily used to treat bipolar disorder?
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Question 29 of 90
Emily is a 28-year-old nurse who works on a psychiatric unit. She is assigned to work with Jenna, a 27-year-old who was admitted with major depressive disorder. Emily and Jenna realize that they graduated from the same high school and each has a 2-year-old daughter. Emily and Jenna discuss getting together for a play date with their daughters after Jenna is discharged. This situation reflects:
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Question 30 of 90
A nurse is caring for a patient who has recently been diagnosed with diabetes. Which of the following interventions is most appropriate to help the patient manage their condition?
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Question 31 of 90
The cortical hamartomas of tuberous sclerosis display different MRI characteristics depending on a patient's age. Which of the following pathophysiologic processes is responsible for this age-related change in the MRI characteristics of these lesions?
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Question 32 of 90
Marnie is a 16-year-old patient with bipolar disorder. She is manic right now and is in the hallway naked, making sexual requests of the staff and other patients. What is your best course of action?
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Question 33 of 90
The nurse prepares to assess a patient diagnosed with major depression for disturbances in circadian rhythms. Which question should the nurse ask this patient?
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Question 34 of 90
Which of the following symptoms is classified as mild lithium toxicity?
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Question 35 of 90
A nurse is caring for a patient who has been prescribed an antipsychotic medication. Which of the following is a priority nursing intervention?
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Question 36 of 90
The appearance of sleep spindles on a sleeper's EEG recording would indicate they are in:
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Question 37 of 90
The nurse is assessing the neurologic status of a patient who has a late-stage brain tumor. With the reflex hammer, the nurse draws a light stroke up the lateral side of the sole of the foot and inward, across the ball of the foot. In response, the patient's toes fan out, and the big toe shows dorsiflexion. The nurse interprets this result as:
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Question 38 of 90
What is another name for N3 stage sleep?
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Question 39 of 90
During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down his buttock into his leg. The nurse suspects:
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Question 40 of 90
In a person with an upper motor neuron lesion such as a cerebrovascular accident, which of these physical assessment findings should the nurse expect?
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Question 41 of 90
Which of the following is the major role of the neurologist after a diagnosis of psychogenic nonepileptic events?
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Question 42 of 90
Which of the following are treatments offered by residential rehabilitation centres?
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Question 43 of 90
A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. A nurse can correctly analyze that these symptoms are related to which drug action?
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Question 44 of 90
Taking a stimulant will probably cause:
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Question 45 of 90
An immigrant from China needs a colonic resection but is anxious and reluctant about surgery. This patient usually follows traditional Chinese health practices. Which comment by the nurse would most likely reduce the patient's anxiety and reluctance?
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Question 46 of 90
When caring for a patient who has multiple health problems and related medical diagnoses, nurses can best perform nursing diagnoses and nursing interventions by developing a:
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Question 47 of 90
A nurse is assessing a patient who graduated at the top of his class but now obsesses about being incompetent in his new job. The nurse recognizes that this patient may benefit from the following type of psychotherapy:
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Question 48 of 90
Nurse Janet is aware that the symptoms that distinguish PTSD from anxiety disorders include:
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Question 49 of 90
The spouse of a patient with schizophrenia asks, 'Which neurotransmitters are more active when a person has schizophrenia?' The nurse should state, 'The current thinking is that the thought disturbances are related to increased activity of: (Select all that apply.)
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Question 50 of 90
During an assessment of an 80-year-old patient, the nurse notices the following: an inability to identify vibrations at her ankle and to identify the position of her big toe, a slower and more deliberate gait, and a slightly impaired tactile sensation. All other neurologic findings are normal. The nurse should interpret that these findings indicate:
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Question 51 of 90
To palpate the temporomandibular joint, the nurse's fingers should be placed in the depression ________ of the ear.
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Question 52 of 90
Which statement made by a patient demonstrates a healthy degree of resilience? Select all that apply.
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Question 53 of 90
A nurse cares for a group of patients receiving various medications including haloperidol (Haldol) carbamazepine (Tegretol) trazodone (Desyrel) and phenelzine (Nardil). The nurse will order a special diet for the patient who takes:
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Question 54 of 90
Helen, a 47-year-old client with a long history of severe depression, has not responded to antidepressant medications or psychotherapy. The nurse caring for the patient knows that the treatment of choice for depression unresponsive to conventional treatment would be:
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Question 55 of 90
Which of the following statements best describes schizotypal personality disorder?
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Question 56 of 90
Which of the following definitions are correct?
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Question 57 of 90
Hugo has a fraternal twin named Franco who is unaffected by mental illness even though they were raised in the same dysfunctional household. Franco asks the nurse, 'Why Hugo and not me?' The nurse replies:
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Question 58 of 90
Some medications such as tricyclics cause blurred vision. What is the cause of this effect?
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Question 59 of 90
A nurse is assessing a patient who is experiencing a panic attack. Which of the following interventions would be most appropriate to manage the patient's anxiety?
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Question 60 of 90
When the nurse is testing the triceps reflex, what is the expected response?
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Question 61 of 90
As a nurse assesses a new client, the nurse makes sure the door remains open. Which type of communication factor is this action?
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Question 62 of 90
A nurse is providing discharge teaching for a patient who is newly diagnosed with diabetes. Which of the following statements by the patient indicates that the teaching was effective?
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Question 63 of 90
A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. The nurse examines her hand and would expect a fracture if the girl complains of a:
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Question 64 of 90
A patient has been admitted to the psychiatric unit for acute psychosis. Which action by the nurse best demonstrates effective therapeutic communication?
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Question 65 of 90
Which of the following clinical characteristics is associated with an increased risk of suicidal ideation in patients with epilepsy?
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Question 66 of 90
Which of the following second generation antipsychotics is available sublingually or as transdermal patch?
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Question 67 of 90
A nurse is caring for a patient who is experiencing an acute panic attack. Which of the following interventions is most appropriate?
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Question 68 of 90
A patient has dementia. The health care provider wants to make a differential diagnosis between Alzheimer disease and multiple infarctions. Which diagnostic procedure should a nurse expect to prepare the patient for first?
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Question 69 of 90
Which statement is most true about depression?
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Question 70 of 90
A patient on Haldol 10mg daily is noted to have and extreme form of slowness. The PMHNP understands which dopamine pathway is associated with this?
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Question 71 of 90
Nancy has antisocial personality disorder. Which of the following is a goal of treatment for Nancy?
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Question 72 of 90
A client is unwilling to go out of the house for fear of having to get on an elevator or be in a small room. Because of this fear, the client remains home except when accompanied outside by the spouse. The nurse suspects that the client has:
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Question 73 of 90
Priority teaching for a patient taking clozapine (Clozaril) should include which instruction?
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Question 74 of 90
You have been consistently caring for a patient who is suicidal who now tells you, 'Nurse, I finally have it all figured out. It's going to be just fine.' Your best response to this patient is:
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Question 75 of 90
A patient reports good results from taking an herb to manage migraine headache pain. The nurse confirms there are no hazardous interactions between the herb and the patient's current prescription drugs. Select the nurse's best comment to the patient.
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Question 76 of 90
Lysergic Acid Diethylamide (LSD) starts to take effect around 30 to 90 minutes after taking it and physical effects include:
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Question 77 of 90
A 66-year-old woman is seen in clinic for a new diagnosis of epilepsy; she has recurrent partial seizures attributed to a left hemispheric stroke. She has atrial fibrillation (on warfarin), osteoporosis, and a history of kidney stones. Phenytoin caused a rash. Which of the following is the most appropriate antiepileptic medication for this patient?
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Question 78 of 90
Increased levels of acetycholine result in
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Question 79 of 90
Which statement accurately describes the effects of emotional trauma on the individual physically?
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Question 80 of 90
A 58-year-old patient was brought to the mental health clinic by his family. They said that for the past three weeks, he had heard voices, dressed in a bizarre manner, and behaved strangely. They also mentioned that he was presently being treated for mild symptoms characteristic of early-onset Parkinson's disease. He was diagnosed with schizophrenia and was given quetiapine. What is the most likely reason for selecting this drug for this patient?
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Question 81 of 90
Which of the following drugs are used to treat substance use disorders by attaching to endorphin receptor sites in the brain?
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Question 82 of 90
Becky tells you, “I have something secret to tell you, but you can't tell anyone else.†The nurse agrees. What is the likely consequence of the nurse's action?
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Question 83 of 90
Eventually JS agrees to electroconvulsive therapy (ECT). Which member of the team is responsible for obtaining the client's informed consent?
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Question 84 of 90
You ask the patient's sister for more information about the home environment, ADLs, and medications. What type of information source is his sister?
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Question 85 of 90
The nurse is testing the function of CN XI. Which statement best describes the response the nurse should expect if this nerve is intact? The patient:
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Question 86 of 90
Psychosis can be a symptom of which of these?
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Question 87 of 90
The Reducing Americans' Vulnerability to Ecstasy (RAVE) Act of 2002 was designed to cut down on the presence of drugs in:
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Question 88 of 90
A nurse is caring for a patient who has recently been diagnosed with schizophrenia. Which of the following is a priority nursing intervention?
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Question 89 of 90
An adolescent female is readmitted for inpatient care after a suicide attempt. What is the most important nursing intervention to accomplish upon admission?
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Question 90 of 90
An individual hiking in the forest encounters a large poisonous snake on the path. Which change in this individual's vital signs is most likely?
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